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HomeMy WebLinkAboutGARAGE DOORS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � Date: �1 I�� ` �g Permit Number: ,V0� I I '0 5 1 1 RECEIVED JUL 5 ME Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �� q . C�RC}Pt3SEQ lMRR4VEItENT LI�CAT,IQ�I�a � Address: G 00 ��_h Y�' �• `O/ le Legal Description: O� 1 C� �t S �� — /J I�C/ �— Lo M_Q P flu D2A) 0 3 9-gcf- X 177 Property TaxlD#: �`' (S 81- �d5 ' � j�3' ��� Lot No. Site Plan Name: Ss� (NQS Block No. J 0 Project Name: Ss(Y-L ! I Dme 5 Setbacks Front Back: Right Side: Left Side: CEI�lLE DESGftlPTIOIU�QW`ORK1p, 3 i r ' � a sa f �TRLJC 'ICI�INF{3RMA` )fJN �� „ „ :..n_ . x Additional work to be nertormed un er t Is permit—check aMShutters2fwindows/Doors apply: HVAC Gas Tank []Gas Piping _ 11 Electric ❑_Plumbing Sprinklers [Generator Roof Total Sq. Ft of Construction: I 1 12-) Sq. Ft.of First Floor: Cost of Construction:$ I Utilities: Sewer[]Septic Building Height: QWIERI_ ss a - C{ NTRACT©R. , �. _ [� �,� �. Name: C I � C� Address: Company•I a G1�, city: Q.VL-C Qom— Stater— Address: I I LP s- Glr — AVe Zip Code: 17 Fax: City: I fi�sv� 1 States:,�'j�f Phone Nab 172-L S O Zip Code:3�7�� Fax: I—219y-? r�ju E-Mail: _AJ 116) Phone No. X11 — `Zl9(I^CJ13��j Fill in fee simple Title Holder on next page(if different E-Mail: atf4ti qo,16v),1—d oor McLg @ ' a from the Owner listed above) State or County License: C ( 3 2q Ci If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. .0 MY JEANETTEDANIELLEVOGEL o JEANETTE DANIELLE VOGEL _ MY COMMISSION#FF114946 =•€ MY COMMISSION#FF114946 ..6i , EXPIRES April 21, 2018 .9 of o?,- EXPIRES April 21, 2018 (407)398-0153 FloridallotaryService.com (407)398-0153 Floridallotaryservice.com DESIGNER ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Addr City: State: y- State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Applicable B G COMPANY: _Not Applicable Name: Name. Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in yayr paying twice for improvementso yFr( r roperty.A Notice of Commencement must be recorded• nd,p 'sted on the jobsite before the firs i son. If you intend to obtain financing,consult with led i an ttorney before commencin ecordin our Notice of Commencement. >K_ s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA 6. �•�—� STATE OF FLORIDA /J r�� � COUNTY OF �l COUNTY OF l`?I The forging instrum nt was acknowledged before me The forgoing instrument was acknowledged before me this =D day of U. 201 lv by this O day of U l,( 20 LLP by (Name of person acknowledging) (Name of person acknowledging) I- CsigrMure o ry Public-State of Florida) (Sign re of N- ary Publ' -State of Florida) Personally Known \,ubOR Produced Identification. " Personally Known OR Produced Identification Type of Identification Produced Tvne o I cation Produced os'"Y'`a4 JEANETTE DJANI I FF VOGEL ° � '' �EANETTE DANIEL. yOGEL Commission No. ° .` eat Cdrhmission No. r S`��I MY COMMISSIO #FF114946 MY COMMISSION F114946 :9 •_ EXPIRES A r 121 121, 2018 a`` ...........: RES 2018 Revised 07/15/2014 (407)398-0153 FloridaNctaryService.com """ (407)39e-0153 FloridallotarySerye.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS